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LCSW

Mary Cowen, LCSW

  • Experience26 years
  • LocationNorth Carolina
  • Focus areasADHD, Grief, and Eating
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Mary

Mary Cowen is a Licensed Clinical Social Worker with 26 years of practice across Texas, Oklahoma, and now North Carolina. She has extensive experience helping people navigate complex concerns such as depression, anxiety, grief, eating-related issues, bipolar disorder, ADHD, relationship challenges, trauma and abuse, and caregiving stress.

Background and approach

Her background includes work in community health, in-home care, schools, inpatient mental health, hospitals, and hospice, giving her a broad perspective on clinical and practical needs. Her style is described as warm and interactive, emphasizing respect, sensitivity, and compassion.

Mary adapts her approach to fit each person, drawing from client-centered methods, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), mindfulness, motivational interviewing, and solution-focused techniques. She has provided individual, couples, family, and group therapy, and brings that variety into tailoring treatment plans to real-life circumstances.

Mary encourages clients to take courageous steps toward change and offers support aimed at empowerment and practical coping. She welcomes people ready to begin work on emotional pain, life transitions, or patterns that interfere with wellbeing, and uses her decades of experience to create collaborative, personalized care.

Therapeutic Approaches and Online Care



Mary uses client-centered therapy and cognitive behavioral therapy as core elements of her online work. Client-centered therapy emphasizes listening, empathy, and collaboration so clients feel heard while exploring their goals and values. Cognitive behavioral therapy focuses on identifying and changing unhelpful thoughts and behaviors, which can be useful for issues like anxiety, depression, and stress-related problems.

She also draws from dialectical behavior therapy techniques when emotional regulation and interpersonal skills are central concerns. DBT offers practical skills for managing intense emotions, improving relationships, and coping with crises, and can be integrated into sessions when those skills align with a client's needs.

Finding the right approach is treated as a collaborative process. Mary works with clients to assess needs, preferences, and goals, and then adapts methods over time to find what fits best. This partnership helps clients try approaches in a way that feels manageable and relevant to everyday life.

Online therapy with Mary is offered through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for varied schedules and comfort levels. These formats make it easier to access consistent care from North Carolina or internationally, support continuity during life transitions, and allow practical, skills-focused work to continue between in-person options.

Frequently asked questions

What kinds of concerns does Mary help with?
She works with a wide range of issues including depression, anxiety, grief, eating-related concerns, bipolar disorder, ADHD, relationship and intimacy difficulties, trauma and abuse, caregiving stress, and compassion fatigue.
What is her general therapeutic approach and style?
Her style is warm and interactive, focusing on respect and sensitivity while tailoring methods to each person. She blends client-centered care with evidence-informed techniques like CBT and DBT when appropriate.
How much clinical experience does she bring?
She has practiced for 26 years across multiple settings including community health, schools, hospitals, inpatient facilities, hospice, and home health care.
What are Mary’s credentials and where is she based?
She is licensed as an LCSW with licence number NC LCSW C008100 and is located in North Carolina.
Does she see clients who live outside the United States?
Yes, she accepts international clients and conducts sessions in English.
Which session formats are offered for working together?
Sessions are available via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are fees and subscriptions handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin therapy with Mary?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Areas of expertise

Primary focus

GriefEating disordersSelf esteemBipolar disorderADHD

Also works with

Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseIntimacy-related issuesParenting issuesAnger managementCareer difficultiesDepressionCoping with life changesCoachingCompassion fatigue

Additional focus areas

Adoption and foster careAging and geriatric issuesBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDrug and alcohol addictionEating and food-related issuesFamily of origin issuesFamily problemsFertility issuesFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityVeteran and Armed Forces IssuesMood disordersMulticultural concernsPanic disorder and panic attacksParanoiaPhobiasSelf-harmSelf-loveSocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Imago Relationship TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

26+ years

Licensed

North Carolina

Languages

English

What Mary can help with

Mary Cowen works with clients on grief, eating disorders, self esteem, bipolar disorder, and ADHD.

Mary works with clients with concerns like depression, anxiety, physical and emotional abuse, and addictions.

How Mary approaches therapy

Mary's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Imago Relationship Therapy, Mindfulness Therapy, Motivational Interviewing, Narrative Therapy, and Psychodynamic Therapy.

Experience and training

Mary is a Licensed Clinical Social Worker practicing in North Carolina, with 26 years of clinical experience.

Therapy style

Mary aims to support and empower you.